| Daniel Redie General Dentistry | |
|
1849 Highway 138 Sw Riverdale GA 30296-1812 | |
| (770) 996-5850 | |
| Not Available |
| Full Name | Daniel Redie General Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1849 Highway 138 Sw, Riverdale, Georgia |
| Authorized Official Name and Position | Daniel Redie (DENTIST) |
| Authorized Official Contact | 7709965850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Redie General Dentistry 1849 Highway 138 Sw Riverdale GA 30296-1812 Ph: (770) 996-5850 | Daniel Redie General Dentistry 1849 Highway 138 Sw Riverdale GA 30296-1812 Ph: (770) 996-5850 |
| NPI Number | 1295908614 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 04/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295908614 | NPI | - | NPPES |
| 9180091 | Other | GA | DORAL |
| 100997 | Other | GA | AVESIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Smiles Dental Lab, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6030 Highway 85 Ste 240, Riverdale, GA 30274 Phone: 770-996-5737 Fax: 770-996-5916 | |